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Michigan rates for HCPCS 69667

Repair round window fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $4,897.79 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $1,202.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,454.71 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,011.87 / $8,912.51